The metabolic response to acute traumatic brain injury and implications for nutritional support

被引:42
作者
Pepe, JL
Barba, CA
机构
[1] St Francis Hosp & Med Ctr, Hartford, CT 06105 USA
[2] Univ Connecticut, Hartford, CT 06112 USA
关键词
alimentation; metabolic response; nutrition; severe brain injury;
D O I
10.1097/00001199-199910000-00007
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
An overview of the metabolic response to acute traumatic brain injury is presented. The consequences of hypermetabolism hypercatabolism, and an altered immune function are discussed. Once a person with acute traumatic brain injury; develops this hyperdynamic state, the resultant excessive protein breakdown ensues. This can lead to malnutrition. The feeding methods used to prevent malnutrition are discussed, along with the proper alimentation to provide to diminish the hyperdynamic state and improve immune function.
引用
收藏
页码:462 / 474
页数:13
相关论文
共 68 条
[1]   Percutaneous endoscopic gastrostomy for patients with severe cerebral injury [J].
Akkersdijk, WL ;
Roukema, JA ;
van der Werken, C .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 1998, 29 (01) :11-14
[2]   BENEFICIAL-EFFECTS OF AGGRESSIVE PROTEIN FEEDING IN SEVERELY BURNED CHILDREN [J].
ALEXANDER, JW ;
MACMILLAN, BG ;
STINNETT, JD ;
OGLE, C ;
BOZIAN, RC ;
FISCHER, JE ;
OAKES, JB ;
MORRIS, MJ ;
KRUMMEL, R .
ANNALS OF SURGERY, 1980, 192 (04) :505-517
[3]   Cisapride as a treatment for gastroparesis in traumatic brain injury [J].
Altmayer, T ;
ODell, MW ;
Jones, M ;
Martin, V ;
Hawkins, HH .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 1996, 77 (10) :1093-1094
[4]  
[Anonymous], 1989, Journal of Head Trauma Rehabilitation
[5]  
ANTONACCI A, 1984, INFECT SURG, V3, P590
[6]   Percutaneous endoscopic gastrojejunal tube placement [J].
Berger, WL ;
Shaker, R ;
Dean, RS .
GASTROINTESTINAL ENDOSCOPY, 1996, 43 (01) :63-66
[7]   FAILURE OF NONPROTEIN CALORIES TO MEDIATE PROTEIN CONSERVATION IN BRAIN-INJURED PATIENTS [J].
BIVINS, BA ;
TWYMAN, DL ;
YOUNG, AB .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1986, 26 (11) :980-986
[8]   ENTERAL VERSUS PARENTERAL-NUTRITION AFTER SEVERE CLOSED-HEAD INJURY [J].
BORZOTTA, AP ;
PENNINGS, J ;
PAPASADERO, B ;
PAXTON, J ;
MARDESIC, S ;
BORZOTTA, R ;
PARROTT, A ;
BLEDSOE, F .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1994, 37 (03) :459-468
[9]   INTERACTIONS OF NUTRITION, INFECTION AND IMMUNE-RESPONSE - IMMUNOCOMPETENCE IN NUTRITIONAL DEFICIENCY, METHODOLOGICAL CONSIDERATIONS AND INTERVENTION STRATEGIES [J].
CHANDRA, RK .
ACTA PAEDIATRICA SCANDINAVICA, 1979, 68 (01) :137-144
[10]   HORMONAL AND METABOLIC CHANGES FOLLOWING SEVERE HEAD-INJURY OR NONCRANIAL INJURY [J].
CHIOLERO, R ;
SCHUTZ, Y ;
LEMARCHAND, T ;
FELBER, JP ;
DETRIBOLET, N ;
FREEMAN, J ;
JEQUIER, E .
JOURNAL OF PARENTERAL AND ENTERAL NUTRITION, 1989, 13 (01) :5-12